MEDICARE: MR. DAVID A MCFARLAND MA, LADC, MHRT-IV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LC234	ME
2	174400000X	Specialist	CCS2819	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1457474819	OTHER	ME	CIGNA
2	7782658	OTHER	ME	AETNA
3	1457474819	OTHER	ME	BLUE CROSS BLUE SHEILD
4	1457474819	OTHER	ME	EBPA

General Provider Information

NPI Number	:	1457474819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID A MCFARLAND MA, LADC, MHRT-IV

Provider Business Mailing Address
First Line	:	64 WOODY LN
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563-3451
Country	:	US
Telephone Number	:	207-354-6331
Fax Number	:	207-354-0003

Provider Business Practice Location Address
First Line	:	64 WOODY LN
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563-3451
Country	:	US
Telephone Number	:	207-354-6331
Fax Number	:	207-354-0003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	05/02/2008

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